Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $8,050.00 / $10,666.60	Facility		$2,450.00	$8,050.00	$10,666.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,301.25 / $2,450.00 / $2,835.00	Professional		$2,301.25	$2,450.00	$2,835.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,850.00 / $8,928.54 / $12,787.95	Facility		$3,850.00	$8,928.54	$12,787.95
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,675.00 / $13,879.71	Professional		$2,100.00	$3,675.00	$13,879.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,297.75 / $2,502.50 / $7,962.50	Facility		$2,297.75	$2,502.50	$7,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,263.10 / $4,263.10 / $5,107.68	Professional		$4,263.10	$4,263.10	$5,107.68
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $5,050.20 / $5,050.20 / $5,941.41	Professional		$5,050.20	$5,050.20	$5,941.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $6,562.50 / $8,883.00	Professional		$3,500.00	$6,562.50	$8,883.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $6,090.00 / $16,625.00 / $16,625.00	Facility		$6,090.00	$16,625.00	$16,625.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $17,430.00	Professional		$2,100.00	$2,100.00	$17,430.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $6,251.21	Professional		$2,100.00	$2,100.00	$6,251.21